Initial Project Information: CoCo
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Updated: Dec 2, 97  

CoCo

Coordination and continuity in primary care

[ Coordinator(s) ] [ Participants ] [ Project Objectives, ... ] [ Other Characteristics ]

Project Nr: HC 1008 Group: IV Project Duration: 36 months
Key words:
Category:Telematics-based Healthcare Coordination
Summary: Will establish pilots of regional Health Care Networks employing EDIFACT-messaging and multimedia services to improve the coordination and continuity of health care and social services
Mission:COCO will harness telematics to improved coordination and continuity in health and social services and boost the European telematics market in the process. Pilot healthcare networks will be validated in 11 regions to cover some 50 hospital centres and a dozen universities. All-round services to patients will benefit from multimedia technologies which increase the accuracy, speed and safety of daily communication between healthcare professionals. Regional identification with the system will be encouraged to ensure full participation of the healthcare sector and due regard for its real needs.
URL: www.teb.upm.es/coco/coco.html

Coordinator(s)

  • Mr Henrik Jensen
    MEDCOM
    Heden 18
    DK - 5000 Odense C
    Denmark
    tel: 45 66 13 30 66
    fax: 45 66 13 50 66
    KBERN@INET.UNI-C.DK
    url:

Participants:

Name of InstitutionCity+Postal CodeCountryRegion
South & East Belfast Trust Belfast UK-BT8 8BH United Kingdom UKB
County of Funen Odense DK-5000 Denmark DK008
NW Health Board NL-Leitrim IE IE001
Consorci Hospitalari de Cataluny Barcelona E-8008 Spain ES3
Norwegian Centre for Medical Informatics Trondheim N-7005 NO NO16
Hellenic Committee of HOPE Programme Athens GR-11745 Greece GR3
Erasmus University of Rotterdam Rotterdam NL-3015 GE Netherlands NL33
TSD-Projects Assago I-20090 Italy IT2
Bergamo Health Service Trust Bergamo I-24121 Italy IT2
Ipswich General Hospital NHS Trust UK-Ipswich United Kingdom UK403
Prince Edward Island Health Authority Charlottetown C1A 7N5 CAN

Project Objectives, Summary Description and Anticipated Results

The aim of CoCo is
  • to improve the coordination and continuity of health care and social services, and
  • to stimulate the development of a European market for telematics

The CoCo project will establish pilots of Regional Health Care Networks. The objective is to improve the coordination and continuity in primary health care. Validation of these large scale pilots will take place in 10 regions in 8 European countries and in one Canadian region including more than 30 hospitals, 20 health care centres and 12 universities together with 7 national teleoperators and more than 50 national sw-suppliers. Project “ownership” by the users - the regions - is one key element in CoCo. This will ensure committed participation from the users and the continuos focus on real user needs.

Many professionals are involved in the treatment and care of patients: Hospital, GP’s, Home Care, Laboratories, Pharmacies etc. As a result of this specialization and division of labour, there is extensive communication between - communication og everyday routine messagges such of prescriptions, referrals, discharge letters and lab results. And a strong need for more advanced multi-media information.

At the same time, the patient requires a coherent service and expects the persons involved to have access to all relevant information. The health care professionals want to deliver a satisfactory and cost-effective service. The authorities demand high quality and efficiency. Thsi cannot be achieved without up-to-date information and the relevant knowledge. The correct, speedy and safe communication of these messagge has therefore become decisive tio the cost, quality and patient service of the entire health sector. CoCo establish regional health care networks to meet this needs.

The CoCo project also included multimedia messagges and addresses European requirements for security. Most of these messagges are based on the emerging European CEN standards.

Apart from stimulating the development of a European market of telematics, the CoCo project will enable better service for patient, higher professional standards and a more efficient health care sector.

Other Characteristics of the Project:

Users involved
General Practitioners, Health Care professionals in Home Care Centres, Hospitals, Laboratories and Pharmacies. Medical and Pharmaceutical Associations.
Technologies and/or approach used
Regional network based on electronic mailboxes and EDI communication. European communication standards for EDIFACT and multi-media will be used. A standardized interface (EDI-converter) will be implemented in the individual information systems.
Expected benefits for the citizen
Enhanced continuity of care due to increased cross sectorial coordination. Increased quality of care due to earlier access to comprehensive information. The result is a more efficient Health Care sector.
Expected benefits for the users of the application
Faster and easier access to information. Less (re)typing gives better quality on information. The opportunity to reengenere the business processes.
Expected benefits for the European Industries
Creation of a European market for telematic services (Calculated market in Europe is 2 bill. ECU). Implementation and validation of european standards decreases the barriers arising from a fragmented market. Increased need for development of applications which handle electronic communication.
Contribution to EU-policies
Support to development of the information society and a European market for telematic services. The focus in the project is on user needs, multi-media telematics, and use of standards. The projects fits exactly one of the ten priorities in the Bangemann report and the G7-programme.

Validation Sites

MedCom Pilot Sites Denmark Fyns AMT DK
South & East Belfast Trust Belfast Northern Ireland UK
County of Funen Odense Fyns AMT DK
North & West Health Board Leitrim Border IE
Cataluny Hospital Consortium Barcelona Cataluña ES
Western Norway Regional Health Board Bergen NO12 NO
Prefecture of Dodecanese Rhodes Notio Aigaio GR
Daniel d. Hoed Klinik Hospital Rotterdam Zuid-Holland NL
Bergamo Health Service Trust Bergamo Lombardia IT
Ipswich Hospital NHS Trust Ipswich East Anglia UK
Prince Edward Island Health Authority Prince Edward Island C1A7N5 Charlottetown CAN

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